[1] The department, consisting of ten employees, is led by the Director of Vital Records, a position currently held by former Gilford town clerk, Denise M. Gonyer, since July 15, 2019.

The NHDVRA contracts Client Network Services, Inc. to maintain their records portal, the New Hampshire Vital Records Information Network.

[3][4] In 2020, the New Hampshire Division of Vital Records Administration released a groundbreaking medical app called "NeCOD" (National Electronic Certification of Death), which allows for the remote tracking, issuing and viewing of death certificates.

[5] The app, the first of its kind to be released in the United States, was developed in response to the COVID-19 pandemic, when first responders could only make limited contact with infected patients without risking infection themselves.

The Centers for Disease Control and Prevention (CDC) praised the NHDVRA, stating "NeCOD is the only application available with those technological advances".